Provider Demographics
NPI:1750095709
Name:DROZDOWSKI, CAMILLE ELIZABETH (PA-C)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:ELIZABETH
Last Name:DROZDOWSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 WASHINGTON ST APT 3413
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1995
Mailing Address - Country:US
Mailing Address - Phone:804-314-3332
Mailing Address - Fax:
Practice Address - Street 1:309 WASHINGTON ST APT 3413
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1995
Practice Address - Country:US
Practice Address - Phone:804-314-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA064225363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant